Abstract

Simple SummaryCancer cells have altered gene expression profiles. This is ultimately elicited by altered structure, expression or binding of transcription factors to regulatory regions of genomes. The CCAAT-binding trimer is a pioneer transcription factor involved in the activation of “cancer” genes. We and others have shown that the regulatory NF-YA subunit is overexpressed in epithelial cancers. Here, we examined large datasets of bulk gene expression profiles, as well as single-cell data, in head and neck squamous cell carcinomas by bioinformatic methods. We partitioned tumors according to molecular subtypes, mutations and positivity for HPV. We came to the conclusion that high levels of the histone-like subunits and the “short” NF-YAs isoform are protective in HPV-positive tumors. On the other hand, high levels of the “long” NF-YAl were found in the recently identified aggressive and metastasis-prone cell population undergoing partial epithelial to mesenchymal transition, p-EMT.NF-Y is the CCAAT-binding trimer formed by the histone fold domain (HFD), NF-YB/NF-YC and NF-YA. The CCAAT box is generally prevalent in promoters of “cancer” genes. We reported the overexpression of NF-YA in BRCA, LUAD and LUSC, and of all subunits in HCC. Altered splicing of NF-YA was found in breast and lung cancer. We analyzed RNA-seq datasets of TCGA and cell lines of head and neck squamous cell carcinomas (HNSCC). We partitioned all TCGA data into four subtypes, deconvoluted single-cell RNA-seq of tumors and derived survival curves. The CCAAT box was enriched in the promoters of overexpressed genes. The “short” NF-YAs was overexpressed in all subtypes and the “long” NF-YAl in Mesenchymal. The HFD subunits are overexpressed, except Basal (NF-YB) and Atypical (NF-YC); NF-YAl is increased in p53 mutated tumors. In HPV-positive tumors, high levels of NF-YAs, p16 and ΔNp63 correlate with better prognosis. Deconvolution of single cell RNA-seq (scRNA-seq) found a correlation of NF-YAl with Cancer Associated Fibroblasts (CAFs) and p-EMT cells, a population endowed with metastatic potential. We conclude that overexpression of HFD subunits and NF-YAs is protective in HPV-positive tumors; expression of NF-YAl is largely confined to mutp53 tumors and malignant p-EMT cells.

Highlights

  • To extend the currently classified TCGA tumors in the 4 molecular subtypes, we used 838 genes previously validated as signatures for the 4 individual subtypes [3]; each gene was median-centered on all 522 head and neck squamous cell carcinomas (HNSCC) samples, and Pearson correlations were calculated between the predictor centroids and the TCGA samples

  • Nothing is known about the prevalence of CCAAT boxes in the promoters of HNSCC differentially expressed genes

  • Note that a direct relationship between increased levels of NF-YA mRNA and protein levels has been documented in gastric cancer [23] and we have shown that this was observed in HNSCC cell lines

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Summary

Introduction

Squamous cell carcinomas of the head and neck (HNSCC) are major medical concerns worldwide [1], associated with high mortality and morbidity, as the survival outcome of these patients has remained poor over the past decades. They are a heterogenous group of tumors arising from the transformation of keratinocytes of the oral cavity and the upper respiratory tract, including the nasopharynx, paranasal sinuses, oropharynx, hypopharynx and larynx. According to several parameters (gene expression, pathways profiling and clinical features) HNSCC is classified into four subtypes: Basal, Mesenchymal, Atypical and Classical [2,3,4,5,6]

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